Health Care Access

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Alexander N Ortega - One of the best experts on this subject based on the ideXlab platform.

  • Health Care Access and Utilization for Latino Youth in the United States: The Roles of Maternal Citizenship and Distress.
    Medical care, 2020
    Co-Authors: Cinthya K. Alberto, Jie Chen, Jessie Kemmick Pintor, Ana P. Martinez-donate, Alexander N Ortega
    Abstract:

    Objectives We sought to determine the associations between maternal citizenship and Health Care Access and utilization for US-born Latino youth and to determine whether maternal distress is a moderator of the associations. Methods Using 2010-2017 Integrated Public Use Microdata Series National Health Interview Survey data, multivariable logistic regressions were run to examine the associations among maternal citizenship and Health Care Access and utilization for US-born Latino youth. Maternal citizenship and distress interactions were tested. Results Noncitizen mothers had higher odds of reporting uninsurance, lack of transportation for delaying Care, and lower odds of Health Care utilization for their youth than citizen mothers. Compared with no distress, moderate and severe distress were positively associated with uninsurance, delayed medical Care due to cost, lack of transportation, and having had an emergency department visit for their youth. Moderate distress was positively associated with youth having had a doctor's office visit. Noncitizen mothers with moderate distress were less likely to report their youth having had an emergency department visit than citizen mothers with moderate distress. Among severely distressed mothers, noncitizen mothers were more likely to report youth uninsurance and delayed Care due to lack of transportation compared with citizen mothers. Conclusions Health Care Access and utilization among US-born Latino youth are influenced by maternal citizenship and distress. Maternal distress moderates the associations among maternal citizenship and youth's Health Care Access and use. Almost one-third of all US-born youth in the United States are Latino and current federal and state noninclusive immigration policies and anti-Latino immigrant rhetoric may exacerbate Health Care disparities.

  • Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California.
    Medical care, 2018
    Co-Authors: Alexander N Ortega, Arturo Vargas Bustamante, Ryan M. Mckenna, Jessie Kemmick Pintor, Brent A. Langellier, Dylan H. Roby, Nadereh Pourat, Steven P. Wallace
    Abstract:

    Background:This paper provides statewide estimates on Health Care Access and utilization patterns and physical and behavioral Health by citizenship and documentation status among Latinos in California.Methods:This study used data from the 2011–2015 California Health Interview Survey to examine healt

  • racial and ethnic disparities in Health Care Access and utilization under the affordable Care act
    Medical Care, 2016
    Co-Authors: Jie Chen, Arturo Vargasbustamante, Karoline Mortensen, Alexander N Ortega
    Abstract:

    Objective:To examine racial and ethnic disparities in Health Care Access and utilization after the Affordable Care Act (ACA) Health insurance mandate was fully implemented in 2014.Research Design:Using the 2011–2014 National Health Interview Survey, we examine changes in Health Care Access and utili

  • Understanding Observed and Unobserved Health Care Access and Utilization Disparities Among U.S. Latino Adults
    Medical care research and review : MCRR, 2009
    Co-Authors: Arturo Vargas Bustamante, Hai Fang, John A. Rizzo, Alexander N Ortega
    Abstract:

    This study hypothesizes that differences in Health Care Access and utilization exist across Latino adults (>18 years), with U.S. Latino adults of Mexican ancestry demonstrating the worst patterns of Access and utilization. The analyses use the National Health Interview Survey (NHIS) data from 1999 to 2007 (N = 33,908). The authors first estimate the disparities in Health Care Access and utilization among different categories of Latinos. They also implement Blinder-Oaxaca techniques to decompose disparities into observed and unobserved components, comparing Latinos of Mexican ancestry with non-Mexican Latinos. Latinos of Mexican ancestry consistently demonstrate lower Health Care Access and utilization patterns than non-Mexican Latinos. Health insurance and region of residence were the most important factors that explained observable differences. In contrast, language and citizenship status were relatively unimportant. Although a significant share of these disparities may be explained by observed characteristics, disparities because of unobserved heterogeneity among the different Latino cohorts are also considerable.

Danielle M. Varda - One of the best experts on this subject based on the ideXlab platform.

  • Social capital and Health Care Access: a systematic review.
    Medical care research and review : MCRR, 2009
    Co-Authors: Kathryn Pitkin Derose, Danielle M. Varda
    Abstract:

    There is a growing interest in community-level characteristics such as social capital and its relationship to Health Care Access. To assess the rigor with which this construct has been empirically applied in research on Health Care Access, a systematic review was conducted. A total of 2,396 abstracts were reviewed, and 21 met the criteria of examining some measure of social capital and its effects on Health Care Access. The review found a lack of congruence in how social capital was measured and interpreted and a general inconsistency in findings, which made it difficult to draw firm conclusions about the effects of social capital on Health Care Access. Insights from the social network literature can help improve the conceptual and measurement problems. Future work should distinguish among bonding, bridging, and linking social capital and their sources and benefits, and examine whether three dimensions of social capital actually exist: cognitive, behavioral, and structural.

Bradley O. Boekeloo - One of the best experts on this subject based on the ideXlab platform.

  • Disparities in Health Care Access and Utilization at the Intersections of Urbanicity and Sexual Identity in California.
    LGBT health, 2021
    Co-Authors: Ellesse-roselee L. Akré, Bradley O. Boekeloo, Typhanye Dyer, Andrew Fenelon, Luisa Franzini, Neil Sehgal, Dylan H. Roby
    Abstract:

    Purpose: The aim was to examine differences in Health Care Access at the intersections of urbanicity and sexual identity in California. Methods: We used the 2014–2017 Adult California Health Interv...

  • Sexual Identity Differences in Health Care Access and Satisfaction: Findings from Nationally Representative Data.
    American journal of epidemiology, 2021
    Co-Authors: Jessica N. Fish, Rodman E. Turpin, Natasha D. Williams, Bradley O. Boekeloo
    Abstract:

    Identification of barriers to adequate Health Care for sexual minority populations remains elusive as they are complex and variable across sexual orientation subgroups (e.g., gay, lesbian, bisexual). To address these complexities, we use a U.S. nationally representative sample of Health Care consumers to assess sexual identity differences in Health Care Access and satisfaction. We conducted a secondary data analysis of 12 waves (2012-2018) of the biannual Consumer Survey of Health Care Access (n=30,548) to assess sexual identity differences in 6 Health Care Access and 3 Health Care satisfaction indicators. Despite parity in Health insurance coverage, sexual minorities - with some variation across sexual minority subgroups and sex - reported more chronic Health conditions alongside restricted Health Care Access and unmet Health Care needs. Gay/lesbian females had the lowest prevalence of Health Care utilization and higher prevalence rates of delaying needed Health Care and medical tests relative to heterosexual females. Gay/lesbian females and bisexual males were less likely than their heterosexual counterparts to be able to pay for needed Health Care services. Sexual minorities also reported less satisfactory experiences with medical providers. Examining barriers to Health Care among sexual minorities is critical to eliminating Health disparities that disproportionately burden this population.

Dylan H. Roby - One of the best experts on this subject based on the ideXlab platform.

Kathryn Pitkin Derose - One of the best experts on this subject based on the ideXlab platform.

  • Social capital and Health Care Access: a systematic review.
    Medical care research and review : MCRR, 2009
    Co-Authors: Kathryn Pitkin Derose, Danielle M. Varda
    Abstract:

    There is a growing interest in community-level characteristics such as social capital and its relationship to Health Care Access. To assess the rigor with which this construct has been empirically applied in research on Health Care Access, a systematic review was conducted. A total of 2,396 abstracts were reviewed, and 21 met the criteria of examining some measure of social capital and its effects on Health Care Access. The review found a lack of congruence in how social capital was measured and interpreted and a general inconsistency in findings, which made it difficult to draw firm conclusions about the effects of social capital on Health Care Access. Insights from the social network literature can help improve the conceptual and measurement problems. Future work should distinguish among bonding, bridging, and linking social capital and their sources and benefits, and examine whether three dimensions of social capital actually exist: cognitive, behavioral, and structural.

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